title: [Bites by snakes in the genus Bothrops: a series of 3,139 cases].
abstract: Medical records of 3,139 patients bitten by Bothrops snakes and attended at Vital Brazil Hospital (HVB) from 1981 to 1990 were reviewed. They were more frequent in males (75.7%). In 1,412 cases (45.0%) the snake was classified by species, and 1,376 were B. jararaca, 20 B. jararacussu, 11 B. neuwiedi, 2 B. moojeni, 2 B. alternatus e 1 B. pradoi. The most frequent bitten anatomic regions were: foot (47.5%) and hand (21.3%). Tourniquet was used in 38.2% of the cases and its frequency fell down during the study period (p < 0.05). The clinical features at the bite site were: pain (95.6%), swelling (95.4%), ecchymosis (56.1%), blisters (13.8%), necrosis (16.5%), and abscess (11.0%). Systemic manifestations were: bleeding (12.3%), acute renal failure (1.6%), and shock (0.7%). There were blood coagulation disorders in 1,730 (57.9%) of the 2,990 cases. There were 21 amputations (0.7%) and 9 deaths (0.3%). The average serum dose that was used in treatment fell down during the study period (p < 0.001).
authors.affiliation: Depto. Clínica Médica, UFU, Uberlândia, MG.
authors.forename: L A
authors.initials: LA
authors.lastname: Ribeiro
authors.forename: M T
authors.initials: MT
authors.lastname: Jorge
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D017837:Bothrops; D001938:Brazil / Q000453:epidemiology; D016009:Chi-Square Distribution; D002648:Child; D003435:Crotalid Venoms / Q000037:antagonists & inhibitors; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012621:Seasons; D012909:Snake Bites / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D014111:Tourniquets
chemical_list: D000997:Antivenins; D003435:Crotalid Venoms
vernacular_title: Acidente por serpentes do gênero Bothrops: série de 3.139 casos.